Name of Supplier. E.7.2.2. RFP 090006747
Name of Supplier Sample Clauses
Related to Name of Supplier
CONTRACT NAME The name of this contract is Prepaid Mental Health Plan - Four Corners Community Behavioral Health Inc.
Name of Xxxxx(s) 2. The named person's role in the firm, and
Purchase Order Contact Name Purchase Order Contact Name. This person is responsible for receiving Purchase Orders from TIPS. Xxxxx Xxxxxx Purchase Order Contact Email Purchase Order Contact Email xxxxx@xxxxxxxxxx.xxx 2 3
Project Name Register ASIC
FULL NAME OF AGREEMENT The full name of this Agreement is the PDL NPDL/PFLG Slot Charter Agreement ("Agreement").
Name of Felon(s) 2. The named person's role in the firm, and
Purchase Order and Sales Contact Name Please identify the individual who will be responsible for receiving and processing purchase orders and sales under the TIPS Contract.
Name of Agreement 1.2.1 This Agreement shall be called the Primary Principals’ Collective Agreement and referred to as “PPCA” or “the Agreement”.
Contractor Name Business License #: Address: City, State, Zip Code: Telephone: Facsimile: Email: * If you are an independent contractor you are required to obtain a business license with the City of Thousand Oaks. Contractor certifies under penalty of perjury that Contractor is a Sole Proprietor Corporation Limited Liability Company Partnership Nonprofit Corporation Other [describe: ]
Print Name Designation ...................................
